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Mary Koch

Dietitian, Registered β€’ Fallon, NV

Active NPI 1164848115 Individual Practitioner Female Practitioner
Practice location in NPPES

801 E Williams Ave
Fallon, NV 89406

Call 7758677086 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

801 E Williams Ave

Fallon, NV 89406

Telephone 7758677086
Organization at the Same NPPES Address or Phone
Family Medical Center Facility NPI 1730130188

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fallon and Nevada

4 active clinicians are listed under Dietitian, Registered with a practice address in Fallon, NV (527 in Nevada).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES NV 32648-DI-2

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Nevada State Medical Licensing Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

23 listed
Dr. Brent Aikin , DO

Family Medicine

NPI 1689643611

Doctor of Osteopathic Medicine (D.O.)

Dr. Terry Brown , MD

Radiology - Diagnostic Radiology

NPI 1689655888

Doctor of Medicine (M.D.)

Dr. Amanda Casey , MD

Family Medicine

NPI 1497879175

Doctor of Medicine (M.D.)

Dr. Bo Chung , MD

Family Medicine

NPI 1285892158

Doctor of Medicine (M.D.)

Dr. Melissa Coombs , MD

Emergency Medicine

NPI 1043448558

Doctor of Medicine (M.D.)

Dr. Timothy Costa , MD

Internal Medicine

NPI 1265586093

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location May 30, 2018

Registered at 801 E WILLIAMS AVE, FALLON, NV 89406 (Tel: 7758677086)

πŸ“
Updated Business Mailing Address May 30, 2018

Registered at 801 E WILLIAMS AVE, FALLON, NV 894063052

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2018

Dietitian, Registered (license number reported to NPPES: NV 32648-DI-2)

βœ…
NPI Profile Active March 14, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 14, 2014

Registered at 801 E WILLIAMS AVE, FALLON, NV 894063052 (Tel: 7758677086)

πŸ“
Business Mailing Address (Initial Record) March 14, 2014

Registered at 525 W BROWN RD, MESA, AZ 852013202

πŸ‘€
Provider Name / Credentials (Initial Record) March 14, 2014

Recorded as MARY KOCH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2014

Dietitian, Registered (license number reported to NPPES: NV 32648DI-0)

🟒
Initial NPI Registration & Enumeration March 14, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1164848115
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2014
Last Update: May 30, 2018
Sole Proprietor: No

Mailing Address

801 E Williams Ave

Fallon, NV 894063052

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.